Most Relevant Information
Provider Data
| NPI Number: | 1003324997 |
| Provider Name: | CRYSTAL JOY MILLER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 274305 |
Most Important Dates
| Enumeration Date: | 01/13/2018 |
| Last Updated: | 01/13/2018 |
Provider Practice Location
100 WASHINGTON ST
ELMIRA
NY
149012849
Practice Location Phone/Fax
| Phone: | 6077374700 |
| Fax: |
Provider Mailing Location
100 WASHINGTON ST
ELMIRA
NY
149012849
Provider Mailing Phone/Fax
| Phone: | 6077374700 |
| Fax: |